What is another word for with a struggle?

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Adverb With physical difficulty with effort assiduously actively arduously determinedly diligently hard industriously intently laboriously purposefully resolutely amain busily conscientiously doggedly intensely intensively obstinately perseveringly sedulously slavishly steadfastly strenuously unwaveringly willfully zealously energetically hardly mightily steadily vigorously painfully with a will with difficulty after a struggle painstakingly by hand exhaustingly toilsomely wearyingly tiringly tiresomely ponderously gruelinglyUS cumbrously burdensomely cumbersomely onerously with great effort gruellinglyUK not without difficulty troublesomely tirelessly earnestly like a Trojan nose to the grindstone without slacking eagerly persistently meticulously very hard untiringly unremittingly fervently expeditiously thoroughly indefatigably feverishly ardently like crazy really hard vigilantly enthusiastically unabatedly like billy-o with perseverance with application exhaustively all out wearilessly flatstick unrelentingly unflaggingly like mad continuously “They managed to retrieve their son from the melee and, with a struggle, reached the safety of their home.” Find more words! 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